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快速康复外科理念在扁桃体腺样体切除术患儿护理中的应用

Application of fast track surgery in the nursing of children with tonsillectomy and adenoidectomy
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摘要 目的探讨快速康复外科理念(FTS)在扁桃体腺样体切除术(T&A)患儿护理中的应用效果。方法选取单县海吉亚医院2021年6月至2023年6月收治的120例T&A患儿作为研究对象,以随机数字表法分为对照组(常规护理)与观察组(基于FTS的护理),每组各60例。比较两组术后恢复时间、术后疼痛程度、家属满意度及术后并发症发生情况。结果观察组切口愈合、术后假膜形成及住院时间均短于对照组(P<0.05)。观察组术后苏醒即刻、术后1d、术后3d的疼痛评分均低于对照组(P<0.05)。观察组家属总满意率高于对照组(P<0.05)。观察组术后并发症总发生率低于对照组(P<0.05)。结论FTS在T&A患儿护理中应用可缩短切口愈合、术后假膜形成及住院时间,减轻术后疼痛,减少术后并发症发生,提高家属满意度,有应用价值。 Objective To explore the application effect of fast track surgery(FTS)in the nursing of children with tonsillectomy and adenoidectomy(T&A).Methods A total of 120 children who underwent T&A admitted to Shanxian Haijiya Hospital from June 2021 to June 2023 were selected as the study objects.All the children were divided into the control group(conventional nursing)and the observation group(nursing based on FTS)using the random number table method,with 60 cases in each group.The postoperative recovery time,postoperative pain degree,family satisfaction,and incidence of postoperative complications were compared between the two groups.Results The incision healing time,postoperative pseudomembrane formation time,and hospital stay time in the observation group were shorter than those in the control group(P<0.05).The pain scores at the moment of postoperative awakening,1 day after surgery,and 3 days after surgery in the observation group were lower than those in the control group(P<0.05).The total rate of family satisfaction in the observation group was higher than that in the control group(P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion The application of FTS in the nursing of children with T&A can shorten the incision healing time,postoperative pseudomembrane formation time,and hospital stay time,relieve postoperative pain,reduce postoperative complications,and improve family satisfaction,which has practical value.
作者 黄献营 HUANG Xianying(Department of Otolaryngology Outpatient,Shanxian Haijiya Hospital,Shandong Province,Heze 274300,China)
出处 《妇儿健康导刊》 2024年第18期176-179,共4页 JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词 快速康复外科理念 扁桃体腺样体切除术 术后恢复时间 术后疼痛程度 Fast track surgery Tonsillectomy and adenoidectomy Postoperative recovery time Postoperative pain degree
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